Request an Appointment or Consultation

Emergency Assistance

This form is not monitored continuously and should not be used for emergencies or immediate mental health assistance. If this is an emergency, call:

Call 911 - For other emergency services
Text 741741 - For crisis text line
Call 988 - For suicide and crisis intervention

Client Information

First name

Last name

Email address

Phone number

I'm already a client

Date and Time

Date

Appointments are generally available Tuesday through Friday, excluding holidays.

What time of day works best for you?

Appointments typically begin on the hour. Please indicate your preferred time or general availability.

About Your Appointment

Is there anything else you'd like me to know?

Is there anything else you'd like me to know? Comment: You may briefly share what brings you to therapy or any questions you have. Please share only what you're comfortable including at this stage.

Fees and Payment

I understand that individual therapy sessions are $250 and couples therapy sessions are $300. I understand that a complimentary 15-minute consultation is available.

Your information will be encrypted.

Request an Appointment or Consultation

Emergency Assistance

Client Information

Date and Time

About Your Appointment

Emergency Assistance

Dr. Shayce Johnston, PhD, LMFT, LMHC